IndividualActive
Jason Bullock, D.M.D
NPI 1053378620 · Dentist · Fort Gordon, GA
Jason Bullock, D.M.D is a Dentist provider in Fort Gordon, GA (NPI 1053378620).
Provider details
- NPI number
- 1053378620
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- D.M.D
- Sex
- Male
- Sole proprietor
- No
- License
- 7840 (KY)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Bldg 38717 38th Street
USA Dental Activity
Fort Gordon, GA 30905-5660
Phone: (706) 787-6927
Fax: (706) 787-2082
Approximate (ZIP-level) locationGet directions
Mailing address
Bldg 38717 38th Street
Fort Gordon, GA 30905-5660
Registry dates
- Enumerated
- 2006-04-27
- Last updated
- 2015-05-20
Frequently asked questions
- What is Jason Bullock's NPI number?
- Jason Bullock's National Provider Identifier (NPI) is 1053378620, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jason Bullock's specialty?
- Jason Bullock is listed in the NPPES registry with a primary specialty of Dentist (Dental Providers).
- Where is Jason Bullock located?
- Jason Bullock's practice location on file with NPPES is Bldg 38717 38th Street, Fort Gordon, GA 30905-5660.
- What is Jason Bullock's phone number?
- The practice phone number listed in the NPPES registry for Jason Bullock is (706) 787-6927.
- Is Jason Bullock's NPI active?
- Yes — Jason Bullock's NPI (1053378620) is active in the NPPES registry as of the last update on 2015-05-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.